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Common symptoms of fecal impaction. Common symptoms of fecal impaction include: 1  Abdominal pain or cramping. 2  Abdominal swelling, distension or bloating. 3  Back pain. 4  Blood-streaked stools. 5  Change in bowel habits. 6  Diarrhea (can be explosive). 7  Difficulty urinating. 8  Fecal incontinence (inability to control stools).
A health care provider will need to insert one or two fingers into the rectum and slowly break up the mass into smaller pieces so that it can be expelled.Manual removal of a fecal impaction is usually performed in small steps to reduce the risk of injuring the rectal tissues .